P-CIMT: When it's used & how it's used

Question 1

What is P-CIMT?

Answer 1

○ Incorporated into a long term, broad treatment plan, not stand alone
○ For children with unilateral motor impairment regardless of specific cause → hemiparesis

Does not eliminate hemiparesis

Question 2

How is P-CIMT used?

Answer 2

constraint of less or non-impaired UE

Question 3

General info on P-CIMT

Answer 3

■ Specific use of systematic techniques to shape, refine and practice movements and functional use of the paretic UE
■ High intensity, natural setting, assist generalization of skills to child’s daily life
■ Developmental disregard → child neglecting to attend to part of her body
■ Generalization of skills

Question 4

Motor learning

Answer 4

skills development through practice & consistent feedback

1) Cognitive → trial and error
2) Associative → learning to refine skills
3) Autonomous → functional

Question 5

Principles of P-CIMT drawn from dynamical systems theory

Answer 5

1. Learning a whole motor task is more effective and motivating than learning part of a movement.
2. Frequent, repetitive practice with consistent and immediate feedback is important for skill acquisition.
3. Variability in intervention activities allows the child to learn to adapt new motor skills to the variable demands of real-life contexts.
4. Intervention activities must be meaningful to the child.